| Powhatan Family Counseling And Education Center | |
|
2156 Plainview Center Powhatan VA 23139 | |
| (804) 598-9577 | |
| (804) 598-0086 |
| Full Name | Powhatan Family Counseling And Education Center |
|---|---|
| Speciality | Counselor |
| Location | 2156 Plainview Center, Powhatan, Virginia |
| Authorized Official Name and Position | Barbara L Bridges (BOOKKEEPER) |
| Authorized Official Contact | 8045989577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Powhatan Family Counseling And Education Center 2156 Plainview Center Powhatan VA 23139 Ph: (804) 598-9577 | Powhatan Family Counseling And Education Center 2156 Plainview Center Powhatan VA 23139 Ph: (804) 598-9577 |
| NPI Number | 1659578870 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 04/13/2009 |
| Medicare PECOS PAC ID | 0547317448 |
|---|---|
| Medicare Enrollment ID | O20090410000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659578870 | NPI | - | NPPES |
| 259170 | Other | VA | ANTHEM |
| 007712626 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0810000169 (Virginia) | Primary |
| Provider Name | Judith L Cain Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114908886 PECOS PAC ID: 8022027770 Enrollment ID: I20060407000547 |
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